Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,621.81 / $6,918.31	Facility		$257.04	$1,621.81	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $691.83	Professional		$162.18	$257.04	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $478.63	Professional		$144.54	$251.19	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $575.44	Professional		$181.97	$309.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $549.54	Professional		$204.17	$288.40	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $398.11	Professional		$251.19	$251.19	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $389.05	Facility		$177.83	$257.04	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,760.83	Facility		$1,230.27	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $457.09	Professional		$162.18	$239.88	$457.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72